JOHNSON REGIONAL MEDICAL CENTER (NPI# 1275558710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275558710 |
| Entity Type | Organization |
| Organization Name | JOHNSON REGIONAL MEDICAL CENTER |
| Other Organization Name | JOHNSON COUNTY SURGERY CLINIC |
| Practice Address |
2 Medicine Dr Clarksville AR 72830-4431 |
| Mailing Address |
Po Box 440 Clarksville AR 72830-0440 |
| Practice Telephone | 4797546510 |
| Practice Fax Number | 4797545644 |
| Mailing Telephone | 4797546510 |
| Mailing Fax Number | 4797545644 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT LARRY MORSE (ADMINISTRATOR) |
| Authorized Official Telephone | 4797545454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ========= | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JOHNSON COUNTY SURGERY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
| 1639557226 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2015-05-14 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| 1275753881 | Johnson Regional Medical Center | Ambulance | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2007-04-26 |
| 1255380416 | Johnson Regional Medical Center | Home Health | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1265481337 | Johnson Regional Medical Center | Psychiatric Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1841249943 | Johnson Regional Medical Center | Rehabilitation Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1134178130 | Johnson Regional Medical Center | Medicare Defined Swing Bed Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1336198555 | Johnson Regional Medical Center | Family Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-06 |
| Street Address |
2 MEDICINE DR |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861438202 | Richard Mckelvey | Surgery | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2006-06-22 |
| 1568998235 | Megan Minniear-corrons | Family Medicine | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2017-05-02 |
| 1023054467 | J. David Goodman | Surgery | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275936379 | George L Eckles Md | Surgery | 642 Dunlop Lane, Gateway Wound Center, Clarksville, TN 37040 | 2014-10-02 |
| 1861438202 | Richard Mckelvey | Surgery | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2006-06-22 |
| 1750347464 | William Morris Steely | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2006-04-21 |
| 1205899242 | David Bryan Price | Surgery | 273 Dover Rd, Clarksville, TN 37042-4155 | 2006-04-10 |
| 1073057857 | Two Rivers Surgical Associates Pllc | Surgery | 273 Dover Rd, Clarksville, TN 37042-4155 | 2016-12-13 |
| 1417325580 | United Surgical Associates, Inc. | Surgery | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2015-09-08 |
| 1063898856 | William M. Steely M.d. PC | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2015-08-04 |
| 1720366628 | Kirk Sahagian Do Pllc | Surgery | 787 Weatherly Dr, Suite 400, Clarksville, TN 37043-8949 | 2011-07-26 |
| 1326350604 | Daniel Patrick Pischl | Surgery | 647 Dunlop Ln 203, Clarksville, TN 37040-5165 | 2010-07-02 |
| 1538305461 | Associates In General Surgery, Psc | Surgery | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2008-12-24 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on JOHNSON REGIONAL MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.